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HIMSS Patient-Centered Payer Roundtable FY13 Overview July 1, 2012 Introduction 2 HIMSS Volunteer Groups: Definitions • Committees are small groups of highly qualified volunteers executing the Society’s strategic initiatives via a Board-approved annual plan. Committee members actively engage in work efforts resulting in tangible, valuable resources each year. • Task Forces are groups of volunteers gathering together to work on narrow-issue projects for the Society. Task Forces convene for a particular period of time to work on the project, and then disband. • Work Groups are similar to Task Forces in that they are groups of volunteers gathering together for a particular period of time, and then disband. Work Groups differ in that they gather to work on time-sensitive or single-issue projects for the Society. • Roundtables are Board-created groups focusing on strategic subjects and/or audiences for the Society. Each Roundtable has a specific core constituency – for example, chapter liaisons focusing on state legislative and regulatory issues. Roundtables, and their Chairs, serve at the discretion of the Chair of the HIMSS Board of Directors. HIMSS Volunteers Groups: By the #s • Committees : 20 • Task Forces, Work Groups, Roundtables : 74 • Communities of Profession : 9 • Engaged HIMSS Volunteers : 4,000 + HIMSS FY13 Committee Structure HIMSS BOARD OF DIRECTORS AMBULATORY INFORMATION SYSTEMS CLINICAL BUSINESS INTELLIGENCE ECONNECTING WITH CONSUMERS ENTERPRISE INFORMATION SYSTEMS HEALTH INFORMATION EXCHANGE INNOVATION INTEROPERABILITY & STANDARDS Meaningful Use Center of Excellence CBI Community Patient Experience HIT Usability HIE Toolkit Innovation Community mHIMSS Roadmap Continuity of Care Data Storage & Management Provider Value Proposition CPOE Wiki Enterprise HIE Toolkit TBD 3rd Edition Dictionary Public Comment Review Analytics Social Media Public Comments HIE Communications Position Statement Deriving Value from Data Public Comment Readmissions & IT Ambulatory HIE Toolkit Enterprise Architecture Provider Excellence Award Meaningful Use Public Comment Public Comment Review HIE Toolkit Review Panel LEGEND Roundtable Committee Task Force Community/ Assoc/Groups Workgroup HIMSS FY13 Committee Structure HIMSS BOARD OF DIRECTORS MANAGEMENT ENGINEERING / PROCESS IMPROVEMENT MEDICAL BANKING & FINANCIAL SYSTEMS MEPI Community Revenue Cycle Improvement Nursing Informatics Community Change Management Business Edge eNewsletter Education NURSING INFORMATICS PRIVACY & SECURITY PUBLIC POLICY QUALITY, COST & SAFETY Nursing Executive Engagement Privacy & Security Policy Government Relations Medical Devices / Patient Safety Nursing Informatics TIGER Initiative Toolkit Content Review Small Business & Diversity Clinical Decision Support Privacy & Security Career Development Standard Practices Patient Identity Integrity Legal Aspects of HIT National Quality Forum (NQF) Tools, Topics and Toolkits World Bank Website Tools / Resources Survey Development Mobile Security Public Policy & Advocacy Communications / Membership ICD-10 Clinical Informatics Insights eNewsletter Long-Term / Post Acute Care Cloud Computing Security Stories of Success ICD-10 Regional Chapters Communication Nursing Informatics Awareness CNO Vendor Risk Assessment Quality 101 ICD-10 Playbook ICD-10 National Pilot Program LEGEND Roundtable Committee Task Force Community/ Assoc/Groups Workgroup HIMSS FY13 Committee Structure HIMSS BOARD OF DIRECTORS ANNUAL CONFERENCE EDUCATION DISTANCE EDUCATION CPHIMS TECHNICAL DAVIES AMBULATORY DAVIES ORGANIZATIONAL DAVIES PUBLIC HEALTH PHYSICIANS LEADERSHIP Physicians Community EHR Association Senior IT Executive Community Federal Health Community Professional Development / Emerging Professionals Career Services Regional Affairs Focused Groups Regional Extension Centers Chapter Advocacy Chapters Latino Community Patient-Centered Payer Accountable Care mHIMSS LEGEND Committee Community/ Assoc/Groups mHIMSS Roadmap Roundtable Task Force Workgroup SOP FY13 HIMSS Committee Structure • http://www.himss.org/content/files/FY13CommitteeStructure.pdf Committee Volunteer Structure, Policies and Guidelines • http://www.himss.org/content/files/Committee_SOP.pdf 8 HIMSS FY13 9 HIMSS Mission HIMSS frames and leads healthcare practices and public policy through its content expertise, professional development, and research initiatives designed to promote information and management systems’ contributions to improving the quality, safety, access, and cost-effectiveness of patient care. HIMSS Patient-Centered Payer Cause Improve patient care, quality, and outcomes in a cost-effective manner. Foster collaboration and trust between providers, payers and all health care constituents. Improve health care productivity and efficiencies by leveraging information technology. 10 HIMSS Payer Activities • Monthly Roundtable meetings (via WebEx) – Member driven 2-minute drills – Keynote speaker – 3rd Thursday of the month from 4-5pm EST • HIMSS13: Payer Networking Lunch – 100+ attendees • Relevant virtual events: TBD Patient-Centered Payer Roundtable Overview 12 PCPR Roundtable • Open to all HIMSS members (current membership: approx 250 people) • Will meet virtually 10 times/year • Agenda for the meetings may include: • Commencing with a short series of 2-Minute Drills presented various Roundtable and HIMSS members • Topical discussion with key note presenter The ‘2-Minute Drill’ is based loosely on the sports analogy, and in this case is a fast-paced (short in length) presentation on a hot, emerging, or timely topic, news event (e.g. research paper, game-changing market or technology news), or recent and relevant event (e.g., federal public meeting, legislative/federal/judicial news, critical conference or educational event). 2-Minute Drills foster greater peer-to-peer networking, member engagement, problem solving, solution sharing, and education. If you are interested in presenting any drills, please contact Nancy or Shelley. 13 Patient-Centered Payer Roundtable Current Leadership Team: Chairperson David Fitzgerald, Aetna Term: July 2013 -June 2014 Vice Chairperson Gary Austin, TranzformHealth Term: July 2013 -June 2014 Vision: • Improve patient care, quality, and outcomes in a cost-effective manner. Foster collaboration and trust between providers, payers and all health care constituents. Improve health care productivity and efficiencies by leveraging information technology. Mission: • Provide a vehicle for payer, providers, and other stakeholders to exchange ideas and dialogue on emerging health IT issues and opportunities. • Advance the engagement and learning of payer stakeholders • Impact public policy through the HIMSS Public Policy Committee • Create a conduit for health IT and provider stakeholders to impact14 the payer community engagement and investment in improving of delivery of care Key Theme Areas for 2012-2013 • Building toward holistic collaborations between payers and providers to support improve care and outcomes. Need to better understand each group’s priorities and goals and see where there are areas for discussion, collaboration. – The RT/HIMSS can provide a “safe place” to discuss payer-provider issues • Holistic view of payer-provider IT solutions – Health IT solutions (and sometimes departments) are often “siloed” within both payer and provider organizations. – The healthcare system is moving toward a more “holistic” view of patient care. The delivery system is becoming more integrated. – Health IT professionals and systems need to also become more “holistic” in their viewpoints and integrated in function. 15 Key Topics Areas for 2012-2013 • Value-based healthcare – Bundled payments – Payment models – Build around collaboration • Move toward retail/consumer-focused healthcare – Collaborative Care Coordination – Big Data – Population Health • Consumer data – Data Exchange / Interoperability / Standards – HIE-HIX 16 Roundtable Teams Leadership Team is responsible for guiding vision, purpose and content of the Roundtable; and ensuring alignment with HIMSS leadership and other industry workgroups as needed; ensuring Patient-Centered Payer Roundtable leadership positions are filled. – To dos: Visioning…guiding…big think…build the roadmap…strategic planning…generate ideas on how to leverage internal HIMSS and external opportunities…. – Key Deliverables: Recommendations/volunteers for leadership positions. Schedules for duration/rotation in positions. Recommendations for improvement to vision, mission and approach to roundtable. – Meetings: monthly calls 17 Roundtable Teams Content and Speakers Team is responsible for topics and content for roundtable. Identifies and invites speakers, with input from leadership team. Maintains a high level of quality of content. Identifies topics of interest that require taskforces. Appoints and organizes chairs of taskforces. – To dos: Use your ear to the ground to identify and pull in emerging trends, new ideas, key issues, critical content areas, and high quality speakers. Generate ideas and potential speakers for upcoming HIMSS events and webinars as needed, HIMSS13 payer events like the networking luncheon. Be a resource for speakers request. – Key Deliverables: Create and maintain list of topics and corresponding speakers that are pertinent, timely, of interest to both payers and providers, and align with the direction of the HIMSS payer initiative. Identify topics of interest that require taskforces; appoints and organizes chairs of taskforces. Track and report out roundtable meeting notes and action items. 18 – Meetings: Monthly calls Roundtable Teams Response and Communications Team is responsible for managing the “external face” of the roundtable. Is the Go-To body and organizes the roundtable’s contribution to HIMSS public responses. Monitors HIMSS opportunities like conferences, webinars of interest to roundtable and communicates same. Recommends how the content created by Roundtable can be leveraged by other HIMSS committees, government agencies, and collaborating groups. – Key Deliverables: • ARTICLES – Develop “thought leadership pieces” for publication on the HIMSS.org and the • SOCIAL MEDIA – Engage in payer social media through blogs, LinkedIn, and twitter • PUBLIC POLICY – Coordinate and guide responses from the Roundtable for HIMSS responses to public comments, HIMSS Public Policy Principles, other public policy activities – Meeting: monthly calls 19 Get Involved! Join the Roundtable Sign up for a Team Write a guest blog or article Contact Shelley Price Director, Payer and Life Sciences HIMSS [email protected] Nancy Devlin Senior Associate, Payer and Life Sciences HIMSS [email protected] 20 Where To Go For More Information • Web page – Payer Topics and Tools page! – http://www.himss.org/ASP/topics_payers_healthplans.asp –. – http://www.healthcarepayernews.com/himss-payer-insider 21 FY13 Leadership and Contact Information Chairperson: David Fitzgerald Enterprise Systems Architect Manager Aetna [email protected] Vice Chairperson: Gary Austin Principal & Co-Founder, TranzformHealth [email protected] HIMSS Staff Liaison: Shelley Price Director, Payer and Life Sciences HIMSS [email protected] Nancy Devlin Senior Associate, Payer and Life Sciences HIMSS [email protected] 22 Thank You! 23